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Female Genital Plastic and Cosmetic Surgery



Female Genital Plastic and Cosmetic Surgery


Female genital plastic surgery has become an increasingly sought-after option for women seeking “improvement” in genital appearance, relief from discomfort, and increased sexual pleasure. These surgeries are a combination of gynecologic, plastic, and cosmetic procedures. Every year sees a higher demand for physicians properly trained and able to perform them.

This unique text from the acknowledged experts in the field covers;

  • the anatomy of the area
  • the specific surgical procedures and all their variations
  • patients’ rationales for surgery
  • training guidelines and ethical issues
  • outcome statistics
  • sexual issues
  • patient selection
  • potential risks and complications.

Examining the issues from individual patient’s perspectives, it is written in an academic but easy-to-read style with understandable and unambiguous drawings and photographs. It contains a step-by-step surgical approach, how to best select the right surgical candidates, how to treat this select group of patients, the sexual issues involved, how to individualize techniques for each specific patient, how to deal with criticism from colleagues or journalists, psychosexual issues, and patient protection.

List of contributors, vi

Preface, vii

Acknowledgments, viii

1 Introduction, 1
Michael P. Goodman

2 Genital plastics: the history of development, 3
Michael P. Goodman

3 Anatomic considerations, 9
Orawee Chinthakanan, Robert D. Moore, and John R. Miklos

4 Definitions, 25
Michael P. Goodman

5 Philosophy, rationale, and patient selection, 31
Michael P. Goodman

6 Ethical considerations of female genital plastic cosmetic surgery, 39
Andrew T. Goldstein and Sarah L. Jutrzonka

7 Patient protection and pre‐operative assessment, 45
Michael P. Goodman

8 Surgical procedures I: vulva and mons pubis, 51
Michael P. Goodman, with contributions from David Matlock, Alex Simopoulos, Bernard H. Stern, and Otto J. Placik

9 Surgical procedures II: perineoplasty, vaginoplasty, colpoperineoplasty (“vaginal rejuvenation”), 88
Robert D. Moore, John R. Miklos, and Orawee Chinthakanan

10 The biomechanics and physiology of clitoral and vaginally activated orgasm: impact of vaginal tightening operations, 102
Michael P. Goodman

11 The G‐spot, 108
Dudley Robinson and Linda Cardozo

12 Post‐operative care, 112
Michael P. Goodman

13 Aesthetic male‐to‐female transsexual surgery, 120
Marci Bowers

14 Anesthetic choices and office‐based surgery, 131
Michael P. Goodman

15 Non‐surgical cosmetic vulvovaginal procedures, 138
Gustavo Leibaschoff and Pablo Gonzalez Isaza

16 Surgical risks and untoward outcomes, 154
Otto J. Placik

17 Revisions and re‐operations, 186
Michael P. Goodman

18 Psychosexual issues, 200
Michael P. Goodman

19 Outcomes, 206
Michael P. Goodman

20 Pearls for practice, 212
Michael P. Goodman

21 Standards of care, 215
Michael P. Goodman

Index, 222